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Individual

PETER BLOSSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
626 BERKMAR CIR, CHARLOTTESVILLE, VA 22901-1464
(434) 295-3227
(434) 295-9527
Mailing address
626 BERKMAR CIR, CHARLOTTESVILLE, VA 22901-1464
(434) 295-3227
(434) 295-9527

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101281578
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2020
Last updated
07/12/2024
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